Ludwig's angina is extremely dangerous as it causes edema, distortion, and airway obstruction and can appear as a result of airway problems. The first phase of the management of patients with this disease is observation and intravenous antibiotics. Protecting the airway with surgical drainage will be the management of advanced diseases. In addition to this infection; pain, trismus, airway swelling, and tongue displacement lead to weak airways. Therefore, airway management is a major concern in these situations [1]. Although “normal” airway management for patients with deep neck disease is a tracheostomy with local anesthesia, in extreme cases the infection is difficult or sometimes not possible due to the required tracheostomy position or due to external neck distortion. [2]